Individual provider Active NPI

Calena De Souza, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1144067349
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11033879 Issued in FL
Practice address
520 N Falkenburg Rd
Tampa, FL 33619-7884
Phone
(813) 247-8300
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN11033879 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11033879 FL Primary

Addresses

Primary practice location

520 N Falkenburg Rd
Tampa, FL 33619-7884

Mailing address

807 Ixora Ave
Ellenton, FL 34222-2419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103001564 FL Practitioner - Nurse Practitioner 2466980479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health and Psychiatrist Consultants LLCGroup PAC ID 4789736653, 10 clinicians

Practice addresses (Care Compare)

3919 Tampa Rd
Oldsmar, FL 34677-3114
Phone (727) 733-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11033879FLMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Health & Psychiatrist Consultants LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

7134 Sagheer St
Brooksville, FL 34613

2655 State Road 580
Ste 202
Clearwater, FL 33761
Phone (727) 499-1041

50 N Laura St
Ste 2500
Jacksonville, FL 32202
Phone (219) 516-3784

541 S Florida Ave
Lakeland, FL 33801
Phone (863) 682-7246

603 E Fort King St
Ocala, FL 34471
Phone (352) 704-1704

3919 Tampa Rd
Oldsmar, FL 34677
Phone (727) 733-6111

702 N Alexander St
Plant City, FL 33563
Phone (813) 722-8746

1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849

360 Central Ave
Ste 800
St Petersburg, FL 33701
Phone (330) 617-2966

101 N Monroe St
Ste 800
Tallahassee, FL 32301
Phone (321) 300-2108

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1144067349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 IXORA AVE",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342222419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N FALKENBURG RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197884",
            "telephone_number": "813-247-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOUZA",
        "first_name": "CALENA",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11033879",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11033879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.